Prenatal breastfeeding intervention program to increase breastfeeding duration among low income women

Wajed Hatamleh

Department of Maternal and Child Nursing, King Saud University, Riyadh, Kingdom of Saudi Arabia.

DOI: 10.4236/health.2012.43022                

Abstract

Extensive research confirms the nutritional, economic, biomedical, immunological, and psychological advantages of breast milk. Despite the clear benefits of breastfeeding to mother and infant, breastfeeding rates today continue to remain below the recommended levels in the United States, most notably among low-income mothers. One factor that plays a role in breast-feeding success and may be modifiable by nursing intervention is maternal self-efficacy. This study aimed to increase the breast-feeding du-ration through an intervention based on Den-nis’s Breastfeeding Self-Efficacy Theory. A quasi-Experimental design was used to test the effect of the intervention program on duration of breastfeeding. A convenience sample of 37 low-income women was recruited from two rural pre-natal clinics in the Midwest. Data were collected using the Breastfeeding Self-Efficacy Scale (BSES) and a demographic profile. Women were con-tacted by telephone at two and six weeks post-partum to determine if they were still breast-feeding and to complete the BSES. The women who were assigned to a breast-feeding self-efficacy intervention showed significantly greater increases in breast-feeding duration and self-efficacy than did the women in the control group. The results of this study suggest that the one-hour of breastfeeding intervention program during the prenatal period may increase the duration of breastfeeding in low-income women who intend to breastfeed. This study supports the literature which found that prenatal education and postpartum support are important to the out-come of breastfeeding.

Keywords

Breastfeeding; Self-Efficacy; Intervention; Low Income

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	American Academy of Pediatrics Work Group on Breast-feeding (2005) Breastfeeding and the use of human milk. Pediatrics, 115, 496-506. doi:10.1542/peds.2004-2491
[2]	US Department of Health and Human Services (200) Healthy people 2010. US Department of Health and Human Services, Washington DC.
[3]	Arlotti, J.P., Cottrell, B.H., Lee, S.L. and Curtin, J.J. (1998) Breastfeeding among low-income women with and without peer support. Journal of Community Health Nursing, 15, 163-178. doi:10.1207/s15327655jchn1503_4
[4]	Donath, S.M., Amir, L.H. and the ALSPAC Study Team (2003) Relationship between prenatal infant feeding intention and initiation and duration of breast-feeding: a cohort study. Acta Paediatrica, 92, 352-356. doi:10.1111/j.1651-2227.2003.tb00558.x
[5]	Vogel, A.M. (2003) Intended plans for breast-feeding duration: A simple tool to predict breast-feeding outcome. Acta Paediatrica, 92, 270-271. doi:10.1111/j.1651-2227.2003.tb00543.x
[6]	Janke, J. (1994) Development of the breastfeeding attrition prediction tool. Nursing Research, 43, 100-104. doi:10.1097/00006199-199403000-00008
[7]	O’Campo, P., Faden, R.R., Gielen, A.C. and Wang, M.C. (1992) Prenatal factors associated with breastfeeding duration: Recommendations for prenatal interventions. Birth, 19, 195-201. doi:10.1111/j.1523-536X.1992.tb00402.x
[8]	Riordan, J. (2005) Breastfeeding and human lactation. Jones and Bartlett Publishers, Sudbury.
[9]	Riordan, J., Gill-Hopple, K. and Angeron, J. (2005) Indicators of effective breastfeeding and estimates of breast milk intake. Journal of Human Lactation, 21, 406-412. doi:10.1177/0890334405281032
[10]	Anderson, E. and Gaden, E. (1991) Nurses’ knowledge of breastfeeding. Journal of Obstetrical, Gynecological, and Neonatal Nursing, 20, 58-64. doi:10.1111/j.1552-6909.1991.tb01677.x
[11]	Blyth, R., Creedy, D., Dennis, C., Moyle, W., Pratt, J. and De Vries, S. (2002) Effect of maternal confidence on breastfeeding duration: An application of breastfeeding self-efficacy theory. Birth: Issues in Perinatal Care, 29, 278-274. doi:10.1046/j.1523-536X.2002.00202.x
[12]	Blyth, R., Creedy, D., Dennis, C., Moyle, W., Pratt, J., & De Vries, S. (2004) Breastfeeding duration in an Australian population: The influence of modifiable antenatal factors. Journal of Human Lactation, 20, 30-38. doi:10.1177/0890334403261109
[13]	Pincombe, J., Baghurst, P., Antoniou, G., Peat, B., Henderson, A. and Reddin, E. (2008) Baby friendly hospital initiative practices and breast feeding duration in a cohort of first-time mothers in Adelaide, Australia. Midwifery, 24, 55-61.
[14]	Dennis, C.L. (1999) Theoretical underpinnings of breastfeeding confidence: A self-efficacy framework. Journal of Human Lactation, 15, 195-201. doi:10.1177/089033449901500303
[15]	Dennis, C. (2006) Identifying predictors of breastfeeding self-efficacy in the immediate postpartum period. Re-search in Nursing & Health, 29, 256-268. doi:10.1002/nur.20140
[16]	Field, P.A. and Renfrew, M. (1991) Teaching and support nursing: In the postpartum period. International Journal of Nursing Studies, 28, 131-144. doi:10.1016/0020-7489(91)90003-L
[17]	Dennis, C.L., Hodnett, E., Gallop, R. and Chalmers, B. (2002) A randomized controlled trial evaluation of the effect of peer support on breastfeeding on breastfeeding duration among primiparous women. Canadian Medical Associa-tion Journal, 166, 21-28.
[18]	Dennis, C.-L. and Faux, S. (1999) Development and psychometric testing of the breastfeeding self-efficacy scale. Research in Nursing and Health, 22, 399-409. doi:10.1002/(SICI)1098-240X(199910)22:5<399::AID-NUR6>3.0.CO;2-4
[19]	Creedy K., Dennis, C.-L., Blyth, R., Moyle, W., Pratt, J. and De Vries, S. (2003) Psychometric Characteristics of the breastfeeding self-efficacy scale: data from an Australian sample. Research in Nursing and Health, 26, 143-152. doi:10.1002/nur.10073
[20]	Dai, X. and Dennis, C. (2003) Translation and validation of the breastfeeding self-efficacy scale into Chinese. Journal of Midwifery & Women’s Health, 48, 350-356. doi:10.1016/S1526-9523(03)00283-6
[21]	Gulick, E.F. (1989) Informational correlates of successful breastfeeding. American Journal of Maternal Child Nursing, 7, 370-375.
[22]	Houston, C.R. and Field, P.A. (1988) Practices and policies in the initiation of breastfeeding. Journal of Obstetrical, Gynecological, and Neonatal Nursing, 17, 418-425. doi:10.1111/j.1552-6909.1988.tb00468.x
[23]	Hill, P., Wilhelm, P., Aldag, J. and Chatterton, R. Jr. (2004) Breast augmentation & lactation outcome: A case report. MCN: The American Journal of Maternal Child Nursing, 29, 238-242. doi:10.1097/00005721-200407000-00008